Information Collection

National service member surveys

IC 256965 under ICR 202211-3045-001 · OMB 3045-0197.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Nov.2022 National service member surveys	Form and Instruction
Nov.2022 Climate Change Bundle Evaluation Instruments for AmeriCo 20221103 life cycle evaluation CC 30 Instruments.docx	Form and Instruction
Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCo CNCS IC life cycle evaluation CC 30 Instruments_02232023_Incorporated edits_Clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps	CNCS IC life cycle evaluation CC 30 Instruments_02232023_Incorporated edits_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	1,037	1,037

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.